Research Article

The Polymorphism −308G/A of Tumor Necrosis Factor-α Gene Modulates the Effect of Immunosuppressive Treatment in First Kidney Transplant Subjects Who Suffer an Acute Rejection

Table 1

Characteristics of the two randomly divided cohorts of kidney recipients.

Discovery cohort ()Validation cohort () value

Recipient age, years, mean ± SD52.2 ± 13.551.8 ± 13.00.78
Male recipient, (%)191 (66.8%)100 (65.4%)0.76
Time on dialysis, months17.8 (7.1–31.2)16.8 (6.1–26.9)0.58
Cause of chronic renal failure, (%)0.08
 Glomerulonephritis86 (30.1%)53 (34.6%)
 Chronic tubulointerstitial nephropathy31 (10.8%)23 (15.0%)
 Nephroangiosclerosis22 (7.7%)11 (7.2%)
 Polycystic kidney disease45 (15.3%)21 (13.7%)
 Diabetic nephropathy42 (14.7%)8 (5.2%)
 Unknown cause48 (16.8%)32 (20.9%)
 Others12 (4.2%)5 (3.3%)
Donor age, years, mean ± SD43.0 ± 14.342.6 ± 14.10.73
Male donor, (%)209 (73.6%)112 (74.2%)0.90
Donor type, (%)0.65
 Brain death111 (38.8%)56 (36.6%)
 Circulatory death 175 (61.2%)97 (61.2%)
Immunosuppressive treatment, (%)0.87
 Thymoglobulin + FK + MMF + P98 (34.3%)54 (35.3%)
 IL2R + FK + MMF + P127 (44.4%)69 (45.1%)
 FK + MMF + P54 (18.9%)28 (18.3%)
 CsA + MMF + P2 (0.7%)0 (0)
 FK + SRL + P1 (0.3%)1 (0.7%)
 Belatacept + MMF + P4 (1.4%)1 (0.7%)
Follow-up time, months (median [IQR])74.9 (53.8–99.5)73.0 (50.2–97.5)0.54
Delayed graft function, (%)143 (50.0%)80 (52.3%)0.65
HLA-A mismatch, (%)0.56
 024 (8.4%)17 (11.3%)
 1118 (41.4%)64 (42.4%)
 2143 (50.2%)70 (46.4 %)
HLA-B mismatch, (%)0.55
 012 (4.2%)4 (2.6%)
 1112 (39.3%)66 (43.4%)
 2161 (56.5%)82 (53.9%)
HLA-DR mismatch, (%)0.13
 034 (11.9%)18 (11.8%)
 1123 (43.2%)80 (52.6%)
 2128 (44.9%)54 (35.5%)
Acute total rejection, (%)80 (28.0%)39 (25.5%)0.58
Acute rejection Banff ≥ 2, (%)55 (19.2%)28 (18.3%)0.81
Acute humoral rejection, (%)20 (7.0%)10 (6.5%)0.86
Genotype frequency GA/AA TNF-  −308, (%)49 (17.1%)26 (17.0%)0.97
Graft loss, (%)49 (17.1%)21 (13.7%)0.35

FK: tacrolimus; MMF: mycophenolate; P: prednisone; IL2R: interleukin- (IL-) 2 receptor antagonist; CsA: cyclosporin A; SRL: sirolimus.